ATI RN
ATI Advanced Med Surg Exam 3 Questions
Extract:
Question 1 of 5
Which is(are) potential result(s) of end-organ damage from chronic hypertension? (Select all that apply.)
Correct Answer: A,B,C,E
Rationale: Chronic hypertension damages the heart, kidneys, brain, and predisposes to atrial fibrillation, leading to cardiac disease, renal insufficiency, stroke, and arrhythmias.
Question 2 of 5
A patient with septic shock has a BP of 70/46 mm Hg, pulse of 136 beats/min, respirations of 32 breaths/min, temperature of 104°F, and blood glucose of 246 mg/dL. Which intervention ordered by the health care provider should the nurse implement first?
Correct Answer: C
Rationale: Fluid resuscitation with normal saline is the priority in septic shock to address hypotension and restore perfusion.
Question 3 of 5
A nurse in an emergency department is caring for a client who has a sucking chest wound resulting from a gunshot. The client has a blood pressure of 100/60 mm Hg, a weak pulse rate of 118/min, and a respiratory rate of 40/min. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Administering oxygen addresses hypoxemia and supports respiratory effort in a client with a sucking chest wound.
Question 4 of 5
A patient who has neurogenic shock is receiving a dobutamine infusion through a right forearm IV. Which assessment finding obtained by the nurse indicates a need for immediate action?
Correct Answer: A
Rationale: A cool and pale IV site indicates potential infiltration or poor perfusion, requiring immediate action to prevent tissue damage.
Question 5 of 5
A nurse in the ICU is caring for a client who has heart failure and is receiving a dobutamine drip. The nurse should identify that which of the following findings indicates that the medication is effective?
Correct Answer: A
Rationale: Increased urine output indicates improved renal perfusion and cardiac output, a sign of dobutamine's effectiveness in heart failure.